Active NPI
Ernestine B Gonzalez, LMSW-AP
- Social Worker
- Austin, TX
National Provider Identifier
1104015239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 02509
- Practice address
- 8805 Spring Lake Dr
Austin, TX 78750-3027 - Phone
- (512) 258-0491
- Fax
- (512) 258-2561
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 02509 | TX | Primary |
Addresses
Primary practice location
8805 Spring Lake Dr
Austin, TX 78750-3027
Mailing address
8805 Spring Lake Dr
Austin, TX 78750-3027
Phone (512) 258-0491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02509 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1104015239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 SPRING LAKE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787503027",
"telephone_number": "512-258-0491",
"fax_number": "512-258-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 SPRING LAKE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787503027",
"telephone_number": "512-258-0491",
"fax_number": "512-258-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ERNESTINE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LMSW-AP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "02509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.